Managing an ostomy can be challenging, especially when modern conveniences like electricity and running water aren't available. Here are some practical tips and insights from people who have navigated these situations:

- Use natural light and open air: If possible, change your ostomy appliances outdoors during the day. Sunlight makes it easier to see and clean up. Many people find confidence in doing this, even sunbathing or going shirt-free in public spaces without issues.

- Carry low-tech, minimal gear: In situations like power outages or when you're in the backcountry, a flashlight or headlamp, a small cup of water, and basic supplies can be enough to manage changes in a dark stall or tent. If you need to empty your pouch, doing so in the woods or by the roadside can work, and standing while facing the bowl is effective in door-less toilets. You can also discreetly release pouch gas by loosening the outlet valve when a restroom isn't available.

- Product strategies for extended trips: Consider using products like the Torbot Group "Bladder Pouch," which is a closed, drainable hiking pouch, for multi-day treks. Barrier rings, such as the Adapt Barrier Ring, often provide a better seal and remain pliable longer than pastes, which can harden. Mold the ring to the wafer and press it around the stoma for a secure fit.

- Historical perspective: Supplies used to be much less convenient. People used reusable rubber or vinyl bags and flanges glued on with air-dried adhesive, which often leaked and smelled. Despite this, they still camped, traveled, and attended summer camps. Reading older accounts can offer ideas for managing without today's products.

- Clothing and privacy tricks: In group or primitive settings, wearing elastic underwear and claiming a "hernia" can help hide the pouch in communal showers. Changing appliances at night after lights-out and dressing from the top down with a long shirt can provide privacy. During late pregnancy or when the stoma isn't visible, using a mirror on a counter or held between your knees can help guide changes.

- General mindset: Building self-confidence is key. Don't let having an ostomy stop you from adventures. Many people have successfully gone white-water rafting, sailing, snorkeling, swimming in the Dead Sea, camping, and traveling internationally. Preparation and a relaxed attitude can prevent most crises.